Health Literacy, Computer Skills and Quality of Patient-Physician Communication in Chinese Patients with Cataract

Lin, Xianchai; Wang, Mei; Zuo, Yi; Li, Mingge; Lin, Xiaofeng; Zhu, Siping; Zheng, Yongxin; Yu, Minbin; Lamoureux, Ecosse L.

doi:10.1371/journal.pone.0107615

Cited by 38 publications

(30 citation statements)

References 12 publications

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“…Previous studies also suggested that improving patients’ perceived level of understanding was an important factor to maximize patient satisfaction with cataract surgery[11, 12]. Patients with adequate health literacy presumably had a full understanding of potential benefits and risks of cataract surgery[17]. It is therefore not surprising that adequate health literacy was a significantly positive predictor of the discrepancy between actual and expected postoperative improvement of VF.…”

Section: Discussionmentioning

confidence: 97%

“…We have shown in an earlier study, that Chinese elderly patients with cataract had inadequate health literacy and computer skills, which were significantly associated with poor patient-physician communication and increase the risk of patient misunderstanding and mismanaging the ocular conditions[17]. Previous studies also suggested that improving patients’ perceived level of understanding was an important factor to maximize patient satisfaction with cataract surgery[11, 12].…”

Section: Discussionmentioning

confidence: 99%

“…For health literacy and computer skills measured by an interviewer-administered questionnaire were described previously[17]. Health literacy and computer skills were assessed by asking 3 questions.…”

Section: Methodsmentioning

confidence: 99%

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Preoperative Expectations and Postoperative Outcomes of Visual Functioning among Cataract Patients in Urban Southern China

et al. 2017

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PurposeTo investigate the relationship between preoperative expectations and actual postoperative outcomes of visual function (VF) among patients undergoing first eye cataract surgery.MethodsA longitudinal study of 182 patients from hospitals in urban Southern China were surveyed prior to surgery and 3 month after cataract surgery regarding their preoperative, expected postoperative and actual postoperative VF for each of the items on the Catquest-9SF and their satisfaction with cataract surgery. In addition, detailed clinical data were collected preoperatively and postoperatively.ResultsThe majority of cataract patients in urban Southern China had high expectations for VF outcomes after cataract surgery and in most cases postoperative outcomes achieved the expected level of improvement. The mean (standard deviation, SD) preoperative Catquest-9SF score was 15.7 (5.86) and the mean (SD) expected postoperative score was 26.3 (2.93). The discrepancy between actual and expected improvement was significantly correlated with patients’ health literacy, presence of systemic and ocular comorbidity, preoperative visual acuity of the surgery eye, LOCS III nuclear opalescence and cortical cataract grading.ConclusionCataract patients in urban Southern China had high expectations for surgery outcomes. Patients with low level of health literacy and the presence of systemic and ocular comorbidity may need a comprehensive counseling to decrease the discrepancy regarding expected and actual outcomes.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Preoperative Expectations and Postoperative Outcomes of Visual Functioning among Cataract Patients in Urban Southern China

et al. 2017

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“…The baseline questionnaire takes about 30 minutes to complete and will not be compensated. The baseline questionnaire will be sent to women in all groups to collect sociodemographic, health and computer literacy, 29 menopause knowledge and attitude, SDM, and MHV use data. Follow-up questionnaires for the intervention and comparison participants will be collected at 6-months.…”

Section: Data Collectionmentioning

confidence: 99%

A Patient Portal Intervention for Menopause Knowledge and Shared Decision-Making

Dang

Thavalathil

Ruiz

et al. 2019

Journal of Women's Health

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Background: Menopause is a time often fraught with changes and symptoms, which may require difficult choices and decision-making. During this period, women would benefit from a better understanding and indepth discussions with providers regarding menopause, associated conditions, and appropriate therapy. Patient portals offer a potential means to improve knowledge and shared decision-making (SDM) about menopause. Materials and Methods: This protocol article explores the feasibility of using the secure messaging (SM) function of the Veterans Affairs (VA) Patient Portal, ''My HealtheVet'' to implement an educational intervention and measure its impact on knowledge and SDM in the management of menopause. Results: This is a quality improvement pilot study in which women veterans of menopausal age in the Miami VA are offered an educational intervention via a patient portal, while women veterans in two neighboring VA facilities are not. Intervention participants receive weekly SMs with information on menopause symptoms, and treatment. After 6-months, all participants are surveyed on menopause knowledge, SDM, and satisfaction with the program. Conclusion: This study is among the first to assess the impact of an innovative patient portal intervention to improve knowledge and SDM between patients and providers regarding menopause. If successful, our program will add to the ''meaningful use'' of patient portals and offer a scalable and timely resource for SDM about menopause.

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“…Across studies, evidence suggests that patient characteristics, such as anxiety (Guo, 2014; Lucas, Cox, Perry, & Bridges, 2013; Pereira, Figueiredo‐Braga, & Carvalho, 2016), health literacy (De Oliveira, McCarthy, Wolf, & Holl, 2015; Lin et al, 2014; Ortiz, Wang, Elayda, & Tolpin, 2015), surgical risk (Govender, Spurrett, & Biccard, 2015; Grocott, 2010; Levett, Edwards, Grocott, & Mythen, 2016), and type of surgery (Burkle et al, 2014; Ortiz et al, 2015), influence patient readiness, which in turn can influence surgical outcomes. Related surgical outcomes with a patient focus include perception of pain, postoperative analgesic consumption (Ali et al, 2014; Angioli et al, 2014; Wilson et al, 2015), patient experience or satisfaction (Greene et al, 2017; Guo, 2014), and complications (Ali et al, 2014; De Oliveira et al, 2015; Wilson et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

The mediating role of pre‐operative patient readiness on surgical outcomes: A structural equation model analysis

Torres

Relf

Tuazon

2020

Journal of Advanced Nursing

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Aims:To determine the mediating role of surgical readiness on patient characteristics (surgical risk, type of surgery, pre-operative anxiety, and health literacy) and its influence on surgical outcomes (pain, postoperative complications, and surgical experience).Design: Correlational, theory testing using structural equation modelling. Methods:A total of 376 consecutively selected surgical patients from four tertiary hospitals were recruited and followed-up 48-72 hr postoperatively from May-October 2017. Consenting respondents answered questionnaires measuring basic surgical information, health literacy, anxiety, surgical readiness, pain score, and surgical experience. Further, records review was conducted to identify occurrence of any postoperative complications and use of additional analgesics. Results:A good fit and parsimonious model (χ 2 /df = 0.75, RMSEA = 0.00, GFI = 0.99, CFI = 1.00, PNFI = 0.50) highlighted the mediating effect of pre-operative readiness between patient characteristics and surgical outcomes. The type of surgery (curative) influenced patient readiness, surgical complications, and use of additional postoperative analgesics. Higher health literacy negatively influenced patient readiness; can decrease the use of postoperative analgesics; and lessen postoperative pain. Further, pre-operative anxiety decreased patient readiness and increased postoperative pain and negatively influenced the surgical experience. Conclusion:Patient readiness is beyond the physiological aspect of pre-operative preparation and it is influenced primarily by the mental and emotional state of a patient. Addressing issues such as anxiety and health literacy can improve pre-operative readiness that can enhance pain management and surgical experience. Hence, the mediating role of readiness in improving surgical outcomes emphasizes the need to deliver a patient-centred and individualized approach to patient preparation with a key focus on their readiness for surgery. Impact:This study demonstrates the difference between preparing patients and promoting readiness for surgery. Surgical readiness requires patient-centred approach in promoting a more engaged and confident patient who is capable to use appropriate health information and how it can lead to better surgical outcomes.

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Health Literacy, Computer Skills and Quality of Patient-Physician Communication in Chinese Patients with Cataract

Cited by 38 publications

References 12 publications

Preoperative Expectations and Postoperative Outcomes of Visual Functioning among Cataract Patients in Urban Southern China

Preoperative Expectations and Postoperative Outcomes of Visual Functioning among Cataract Patients in Urban Southern China

A Patient Portal Intervention for Menopause Knowledge and Shared Decision-Making

The mediating role of pre‐operative patient readiness on surgical outcomes: A structural equation model analysis

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